• Immunization chart
• Behavioral Health Brochure
• Behavioral Health Fact Sheet
• Cancer Care
• COVID-19 resources available in Cook County, including food assistance, financial assistance, clothing and others
• Health and Wellness
• Mammography Sites | Spanish | Mandarin | Polish
• Pharmacy Benefits
• Preferred Drug List

• Advance Directive/Power of Attorney
• Authorized Representative Form
• Authorization to Disclose Protected Health Information (PHI)
• CountyCare’s Quality Assessment and Performance Improvement (QAPI) Program
• Grievance and Appeal Authorized Representative Form
• HIPAA and Privacy Forms
• LASIK Evaluation Form | Spanish
• Notification of Pregnancy Form
• PCP Change Request Form | Spanish | Polish
• Referral to Care Coordination
• Revocation Form 
• Specialist as PCP Request Form

COVID -19 Vaccines for Kids 5 and 11 are Here 

You can learn more about COVID-19 vaccines or how to schedule an appointment at our COVID-19 vaccination website or find a COVID-19 vaccine near you at https://www.vaccines.gov/, text your zip code to 438829, or call 1-800-232-0233.

To learn more about all services that the CPS Office of Student Health and Wellness can offer, please visit cps.edu/cfbu or call the Healthy CPS hotline at 773.553.KIDS (5437).